Provider Demographics
NPI:1972293017
Name:SW DDS PLLC
Entity Type:Organization
Organization Name:SW DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:SURACHON
Authorized Official - Middle Name:
Authorized Official - Last Name:WEERACHARTKUL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-772-1447
Mailing Address - Street 1:8324 SOUTHWEST FWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1603
Mailing Address - Country:US
Mailing Address - Phone:713-772-1447
Mailing Address - Fax:
Practice Address - Street 1:8324 SOUTHWEST FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1603
Practice Address - Country:US
Practice Address - Phone:713-772-1147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty